Deliberato Rodrigo Octávio, Rocha Leonardo Lima, Lima Alex Heitor, Santiago Caroline Reis Maia, Terra Jose Cláudio Cyrineu, Dagan Alon, Celi Leo Anthony
Critical Care Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Innovation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
PLoS One. 2017 Mar 22;12(3):e0174127. doi: 10.1371/journal.pone.0174127. eCollection 2017.
Physician shift schedules are regularly created manually, using paper or a shared online spreadsheet. Mistakes are not unusual, leading to last minute scrambles to cover a shift. We developed a web-based shift scheduling system and a mobile application tool to facilitate both the monthly scheduling and shift exchanges between physicians. The primary objective was to compare physician satisfaction before and after the mobile application implementation.
Over a 9-month period, three surveys, using the 4-point Likert type scale were performed to assess the physician satisfaction. The first survey was conducted three months prior mobile application release, a second survey three months after implementation and the last survey six months after.
51 (77%) of the physicians answered the baseline survey. Of those, 32 (63%) were males with a mean age of 37.8 ± 5.5 years. Prior to the mobile application implementation, 36 (70%) of the responders were using more than one method to carry out shift exchanges and only 20 (40%) were using the official department report sheet to document shift exchanges. The second and third survey were answered by 48 (73%) physicians. Forty-eight (98%) of them found the mobile application easy or very easy to install and 47 (96%) did not want to go back to the previous method. Regarding physician satisfaction, at baseline 37% of the physicians were unsatisfied or very unsatisfied with shift scheduling. After the mobile application was implementation, only 4% reported being unsatisfied (OR = 0.11, p < 0.001). The satisfaction level improved from 63% to 96% between the first and the last survey. Satisfaction levels significantly increased between the three time points (OR = 13.33, p < 0.001).
Our web and mobile phone-based scheduling system resulted in better physician satisfaction.
医生排班表通常是手动创建的，使用纸张或共享的在线电子表格。错误屡见不鲜，导致在最后一刻匆忙安排替班。我们开发了一个基于网络的排班系统和一个移动应用工具，以方便医生进行月度排班和班次调换。主要目的是比较移动应用实施前后医生的满意度。
在9个月的时间里，进行了三次采用4点李克特量表的调查，以评估医生的满意度。第一次调查在移动应用发布前三个月进行，第二次调查在实施后三个月进行，最后一次调查在实施后六个月进行。
51名（77%）医生回答了基线调查。其中，32名（63%）为男性，平均年龄为37.8±5.5岁。在移动应用实施前，36名（70%）应答者使用多种方法进行班次调换，只有20名（40%）使用科室官方报表记录班次调换。第二次和第三次调查有48名（73%）医生回答。其中48名（98%）发现移动应用易于或非常易于安装，47名（96%）不想回到以前的方法。关于医生满意度，基线时37%的医生对排班不满意或非常不满意。移动应用实施后，只有4%的人表示不满意（比值比=0.11，p<0.001）。第一次和最后一次调查之间，满意度从63%提高到96%。三个时间点之间的满意度水平显著提高（比值比=13.33，p<0.001）。
我们基于网络和手机的排班系统提高了医生的满意度。
